BEUDAMED
    FDA Adverse Event Death Summary report: N

    INTRODUCER SHEATH, 8 F

    MDR report key: 12891 · Received March 8, 1994

    Report

    Report Number
    12891
    Event Type
    Death
    Date Received
    March 8, 1994
    Date of Event
    February 12, 1994
    Report Date
    March 8, 1994
    Manufacturer
    DAIG CORP.
    Product Code
    DYB
    Adverse Event
    Yes
    Product Problem
    Yes
    Report Source
    User Facility report
    Reporter Location
    CA, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    DISLODGEMENT OF SIDE ARM FROM HUB OF 8 F VENOUS SHEATH RESULTING IN LOSS OF APPROX 2 UNITS OF BLOOD.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 INTRODUCER SHEATH, 8 F INTRODUCER SHEATH, 8 F DYB DAIG CORP.

    Patients

    Seq Age Sex Outcome Treatment
    1 72 YR Death| L